Leola Peterson, LCSW, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CO106 Issued in CO

Legal business name

LEOLA PETERSON, LCSW, INC.

Practice address

10 Boulder Crescent St
Colorado Springs, CO 80903-3344

Phone

(719) 339-8010

Fax

(719) 344-5080

NPI assigned

Sep 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leola Peterson, LCSW

Title

President

Phone

(719) 339-8010

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1477803906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033371",
            "telephone_number": "719-339-8010",
            "fax_number": "719-344-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033344",
            "telephone_number": "719-339-8010",
            "fax_number": "719-344-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOLA PETERSON, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-339-8010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "CO106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lorraine Lenocker, PH.D.
• Albert John Lenowicz, LMT, NMT
• Lentz Psychological Services, P.C.
• Rachel Suzanne Lentz, PSYD
• Neesha Lenzini
• Luz Leon
• Jennifer Leonard, DOULA
• Kimberly Sue Leonard
• Lisa Jean Leonard, M.A.,CCC-SLP
• Patrice A. Leonard, MD

• Community/Behavioral Health Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.